by twochickswithasidehustle | Oct 24, 2024 | Uncategorized
At Sevita, we believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children, and their families across the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the people we serve and for our employees.
Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company’s commitment to serve others by sending claims to the payer in a timely and accurate manner.
This role is 100% remote and can be performed from anywhere in the US.
Responsibilities:
- Review and work in Denial Workflow (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
- Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
- Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
- Update collection procedures as necessary
- Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
- Follow-up with Field on updates to items assigned to them that are past follow-up date
- Update DWF with clear concise notes as claims are worked
- Review unapplied cash log for any items that can be applied and work with cash team to resolve
- Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
- Ensure internal control compliance with all assigned areas and other audit requirements
- Maintain an effective control environment for the accounting operations
Qualifications:
- High school diploma or equivalent required; Associate or Bachelor’s degree in a finance-related field preferred
- 2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms
- Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types
- Self-motivated, detail-oriented, and highly organized with the ability to multi-task
- Excellent communication skills, analytical skills, and the ability to collect information from multiple sources
- Effectively use Microsoft Office
Why Join Us?
- Full compensation/benefits package for employees working 30+ hours/week
- 401(k) with company match
- Paid time off and holiday pay
- Complex work adding value to the organization’s mission alongside a great team of coworkers
- Enjoy job security with nationwide career development and advancement opportunities
We have meaningful work for you – come join our team – Apply Today!
Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years.
Sevita is committed to providing equal opportunities to all employees and applicants for employment. We are committed to creating an inclusive and diverse workplace that values and respects the unique talents, experiences, and perspectives of our employees and the people we serve.
As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, pregnancy, gender identity or any other characteristic protected by law. Explore Location
by twochickswithasidehustle | Oct 24, 2024 | Uncategorized
The incumbent of this role obtains medical record documentation needed for coding from USAP partner facilities, accomplished by accessing various hospital medical record EMR systems, and/or communicating with facilities using e fax, email, or phone requests. This role runs detailed reports from charge capture/coding platforms for use in KPI monitoring, and process improvement.
At this time, US Anesthesia Partners does not hire candidates residing in New York, California, Hawaii, or Alaska.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Experience with a variety of electronic medical
- EMR Navigation to locate and obtain required medical
- Communicate with external facility staff with a high level of
- Data entry into excel tracking
- Utilize coding platforms as required per divisional
- Prepare reports for aging and KPI for coding leadership as assigned or
- Prepare data worksheets for coding
- Communicate daily assignments with vendor
- Assist with maintenance of team playbooks (SOP/Pathways)
- Interact with and respond to physician coding documentation
- Monitors and track clinician responses to documentation deficiencies and provide feedback to Coding Quality and Education
- Process post op pain rounding
- Entry level coding (post prospective audit)
- Perform other duties as
- Adhere to all company policies and procedures – especially HIPAA and confidentility
Qualifications
Knowledge/Skills/Abilities (KSAs):
- CPC-A, or CPC with limited experience in anesthesia, RHIT eligible or newly credentialed
- Highschool graduate or equivalent.
- Experience working in a medical records department, or medical clerical experience is preferred but not required. Healthcare background is a plus.
- Minimal level of coding experience with a basic understanding of documentation guidelines, and the ability understand and keep abreast of coding guidelines.
- Ability to self-motivate and to initiate new projects when the opportunity presents itself.
- Ability to work independently, but under the direction of the team lead or supervisor.
- Excellent organization and time management capabilities.
- Intermediate knowledge and working experience with Microsoft Word, Excel, and Outlook.
- Ability to type 50 words per minute.
- Communicates well with all levels of USAP employees and vendors.
- Ability to read, write and speak English.
- Excellent computer skills.
*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Occasional Standing
- Occasional Walking
- Frequent Sitting
- Frequent hand, finger movement
- Use office equipment (in office or remote)
- Communicate verbally and in writing
DISCLAIMER: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
by twochickswithasidehustle | Oct 24, 2024 | Uncategorized
At Sevita we believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children and their families across the United States. As a member of our corporate team, you’ll help shape the work that supports how our business runs, the services we provide, and the relationships we build with those we serve and each other. Join us, and experience a career well lived.
Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company’s commitment to serve others by sending claims to the payer in a timely and accurate manner.
This role is 100% remote and can be performed from anywhere in the US.
Responsibilities:
- Review and work in Denial Workflow (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
- Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
- Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
- Update collection procedures as necessary
- Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
- Follow-up with Field on updates to items assigned to them that are past follow-up date
- Update DWF with clear concise notes as claims are worked
- Review unapplied cash log for any items that can be applied and work with cash team to resolve
- Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
- Ensure internal control compliance with all assigned areas and other audit requirements
- Maintain an effective control environment for the accounting operations
Qualifications:
- High school diploma or equivalent required; Associate or Bachelor’s degree in a finance-related field preferred
- 2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms
- Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types
- Self-motivated, detail-oriented, and highly organized with the ability to multi-task
- Excellent communication skills, analytical skills, and the ability to collect information from multiple sources
- Effectively use Microsoft Office
Why Join Us?
- Full compensation/benefits package for employees working 30+ hours/week
- 401(k) with company match
- Paid time off and holiday pay
- Complex work adding value to the organization’s mission alongside a great team of coworkers
- Enjoy job security with nationwide career development and advancement opportunities
by twochickswithasidehustle | Oct 24, 2024 | Uncategorized
RemoteApply
What is PerfectServe?
PerfectServe offers best in KLAS assets in three categories: clinical communications, scheduling, and patient engagement solutions. PerfectServe is featured on this year’s Inc 5000 list, which profiles the fastest-growing private companies in America. We have seen an 88% growth rate over the past three years and need strong team members to help us continue to grow!
PerfectServe’s mission is to accelerate speed to care by optimizing provider schedules and dynamically routing messages to the right person at the right time in any care setting; advancing patient care and clinical workflows.
By joining PerfectServe, you will have the unique opportunity to come alongside us as we further our vision of putting all of these solutions together to provide optimal patient outcomes and faster patient care interventions. By improving speed to care and cross-continuum communication, we save lives, reduce length of stay, minimize re-admissions, and bring joy back to caregivers.
We have an incredible portfolio of customers, with new ones recognizing the value of our solutions and joining the PerfectServe family every day.
Position Overview:
The Call Center Quality Assurance Supervisor will help PerfectServe establish quality guidelines for employees. The Call Center QA Supervisor must analyze data in order to develop plans to recruit, motivate, and encourage employees while striving to improve processes and support quality. The Call Center Quality Assurance Supervisor will strive to create the best experience possible for our customers and employees. They ensure that their employees, services, and processes meet the needs of our customers. They help design and enforce quality controls in order to maintain company standards. They also help communicate expectations to employees and provide coaching and corrective action when needed. The Call Center Quality Assurance Supervisor must be excellent communicator with a strong desire to help others. The Call Center Quality Assurance Supervisor will leverage empirical data to recommend changes to policy and process to improve customer experiences.
Key Responsibilities:
- Create and manage quality forms used to measure performance
- Observe and score customer interactions according to quality standards
- Recommend and manage changes derived from quality results to improve the customer experience
- Own and manage customer satisfaction survey results (CSAT) and action items to improve and maintain high satisfaction
- Analyze data in order to find areas for growth
- Create reports to track progress
- Formulate and present ideas to increase productivity based on observations
- Review processes in order to ensure that they align with current trends
PerfectServe Success Factors:
- Understanding of the healthcare and customer support industry, PerfectServe’s business, and the current and future marketplace.
- Awareness of customer needs and how PerfectServe’s programs and services address those needs.
- Drive innovative thinking and influence others to adopt changes for improved performance.
- Exhibit flexibility and tolerance for ambiguity in a dynamic healthcare technology industry.
Essential Qualifications:
- Bachelor’s degree or equivalent experience
- Technical proficiency must be able to use computers and generate reports for quality software
- Ability to analyze data and determine root causes
- Must be able to create and review processes
- Must embrace and support change
- Strong communication skills
- Willingness to assist other departments to develop solutions and metrics
- Attention to detail
PerfectServe is committed to complying with all applicable state and federal laws prohibiting employment discrimination. Reasonable accommodations are provided to applicants and employees in accordance with disability discrimination laws. Individuals with disabilities are encouraged to participate in an interactive process to identify reasonable accommodations without undue hardship.
This job description does not encompass all activities, duties, or responsibilities required of the employee.
PerfectServe, Inc. is an Equal Opportunity Employer (EOE) — M/F/D/V.
Benefits:
- Remote first work environment
- Health, Dental, Vision, Life and Disability Insurance options available day one.
- 401K – with match and immediately vested.
- 17 company holidays, 2 floating holidays plus competitive paid time off policy
- Internal Advancement Opportunities
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